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Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

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Page 1: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Natural Hormone Replacement Therapy

Using Bio-identical hormones

By Patricia Peters D.O.

June 15, 2009Copyright © Dr. Patricia Peters

Page 2: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

About ME 30 years in Medicine 20 years as a physician –Board Certified in

Family Practice 17 years doing Obstetrics Associate Clinical Professor at Michigan State

University Program Director for the Macomb Center for

Henry Ford Family Practice Residency Fellowship Training in Anti-aging Medicine with

the American College of Anti-aging and Integrated Medicine

Clinical Educator Program at Michigan State University

June 15, 2009Copyright © Dr. Patricia Peters

Page 3: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

What Hormones should we Replace?

FOR WOMEN Estrogen Testosterone Progesterone DHEA HUMAN GROWTH HORMONE MELATONIN Thyroid

June 15, 2009Copyright © Dr. Patricia Peters

Page 4: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

What Hormones Should We Replace? For Men

Testosterone DHEA Human Growth Hormone Melatonin Thyroid

June 15, 2009Copyright © Dr. Patricia Peters

Page 5: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

How Do We Replace the Hormones??

What age did we have our best hormone balance?

AGE 25-30

June 15, 2009Copyright © Dr. Patricia Peters

Page 6: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

What is Traditional Medicine? Treat disease! – And overall

Physicians do it well Only Replace hormones at the level

of the average age the patient is at Example --- IF YOU ARE 50 REPLACE

FOR AVERAGE 50 YEAR OLDS --- Do you want to feel like your age or

a healthy 25-30 year old?

June 15, 2009Copyright © Dr. Patricia Peters

Page 7: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Biologically Identical Hormones VS Natural

Hormones

Biologically identical hormones are natural to the human body; they may be found in nature or synthesized, and possess an identical make-up and function

Natural hormones are hormones produced by Mother Nature; such as Cow (bovine) or Horse (equine) Hormones; that may or may not be natural to the human body.

June 15, 2009Copyright © Dr. Patricia Peters

Page 8: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Menopause for WomenDecreased hormone levels

of Estrogen Progesterone Pregnenelone DHEA Thyroid HGH – Human Growth Hormone Melatonin Insulin Testosterone

June 15, 2009Copyright © Dr. Patricia Peters

Page 9: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Andropause in MenDecreased Hormone levels

of Testosterone Pregnenelone DHEA Thyroid HGH – Human Growth Hormone Melatonin Insulin Estrogen

June 15, 2009Copyright © Dr. Patricia Peters

Page 10: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

What does all this mean to you?

June 15, 2009Copyright © Dr. Patricia Peters

Page 11: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

AGING Wrinkling, sagging skin Thinning and/or graying of hair Loss of muscle Increase in fat Decreasing, or loss of, memory (Dementia) Arthritis Pain Depression Fatigue Heart Disease Decreasing libido Diminishing immune Capabilities Slower healing

June 15, 2009Copyright © Dr. Patricia Peters

Page 12: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

A tidal wave of the aged in America

In 1999 the estimate of persons age 60 and older was nearly 800 million and is projected to grow to almost 2 billion by 2050.

This projection makes older people out numbering Children (0-14) for the first time in human history.

(UN population division, Dept. of Economic & Social Affairs, 1999)

Page 13: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Life Expectancy

Average life expectancy at birth is 79 years for women, and 72 years for men.

Seven out of ten “baby Boom” women will outlive their husbands --- many can expect to be widows for 15 -20 years.

(Administration on Aging, US Dept. of Health & Human Services 2000)

Page 14: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Leading causes of Death

Heart Disease Malignant neoplasm's Cerebrovascular diseases Chronic Obstructive Pulmonary diseases Pneumonia & Influenza Diabetes Mellitus Motor Vehicle Accidents Suicide All other accidents Congenital Anomalies Chronic Liver Disease/Cirrhosis Nephritis & related syndromes Septicemia Perinatal originating conditions AIDS Homicide

June 15, 2009Copyright © Dr. Patricia Peters

Page 15: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

What can be done? Option A – Grow old gracefully. Accept all

the aches, pains, diseases….and from the comfort of your wheelchair, watch someone else run down the beach?

Option B – Take advantage of modern medical knowledge. Restore optimal hormonal output, modify diet, exercise – and let others watch you run down the beach.

June 15, 2009Copyright © Dr. Patricia Peters

Page 16: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

What do you do? ProzacHormones not only for physical health

but also mental well-being EffexorMasking symptoms of aging – WHY???

WHY NOT DEAL WITH CONTRIBUTING CAUSE?????

June 15, 2009Copyright © Dr. Patricia Peters

Page 17: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

What should really be done?

If we have healthy hormones at age 25 WHY WOULD WE NOT WANT OUR LEVELS

TO REMAIN AT THE LEVEL OF A 25 YEAR OLD?

If we know the biochemistry of the hormones we make

WHY WOULD WE NOT WANT THE EXACT “BIO-IDENTICAL” HORMONE FOR REPLACEMENT?

June 15, 2009Copyright © Dr. Patricia Peters

Page 18: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Hormone Replacement is not new

In the 1930’s Dr. Voronoff investigated Hormone Replacement. In 1966 Dr. Robert Wilson wrote a best seller on the virtues of estrogen replacement.

June 15, 2009Copyright © Dr. Patricia Peters

Page 19: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

The top 3 hormones that have been prescribed

1. Premarin2. Synthroid3. Provera

THE PROBLEM IS THAT ALL 3 ARE “NOT” NATURAL TO THE HUMAN BODY!!!

June 15, 2009Copyright © Dr. Patricia Peters

Page 20: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Myths about Testosterone Replacement

1. You get muscle bound 2. You will get personality changes 3. Increase cancer risks 4. It is addictive

June 15, 2009Copyright © Dr. Patricia Peters

Page 21: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

The “truth” about Testosterone Replacement

1. It will increase a man’s lifespan 2. Decreases Incidence of Heart

Disease 3. Decreases Cholesterol Levels 4. Boosting HDL levels and dilates

arteries

June 15, 2009Copyright © Dr. Patricia Peters

Page 22: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Lets examine Premarin Derived from PREgnant MARies uRINe

contains equine (horse) estrone, not the human estradiol or estrioes that your body actually needs

Many adverse effects – better than nothing Not for the discriminating, modern patient 65,000 young horses slaughtered annually

for the industry

June 15, 2009Copyright © Dr. Patricia Peters

Page 23: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

What about Provera? Synthetic Progestin --- not a Human

progesterone Many side effects Does not affect in any measurable way

your human progesterone levels

Physicians often confuse the synthetic progestins with natural progesterone. The brand of Medroxprogesterone acetate called provera is often mistakenly called progesterone

June 15, 2009Copyright © Dr. Patricia Peters

Page 24: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Here’s a major drug ---- with a major “problem”

Synthroid

Synthetic T4 – and only T4, Contains no T3 – 10X more active Synthroid’s manufacturer was

recently fined billions $$$ by the FDA for falsification of the research documents 25 years ago; misrepresentations discovered too late, Synthroid is now used almost exclusively in the USA

June 15, 2009Copyright © Dr. Patricia Peters

Page 25: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Why would major drug companies produce drugs or products that are synthetic or that have adverse side effects? 1. MONEY!!!!!!!!!Natural biologically identical human

hormones ARE NOT patentable by drug companies!!

NO PATENT= NO PROPRIETARY PRODUCTS= NO PROFIT!!!

June 15, 2009Copyright © Dr. Patricia Peters

Page 26: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Why would major drug companies produce drugs or products that are synthetic or that have adverse side effects? 2. MONEYTo acquire and protect “market share”

they make synthetics and then heavily promote their use by the medical community and the general public. Large market share ensures HIGH VOLUME MANUFACTURING=

ECONOMY OF SCALE= low per unit material and labor costs =

high profit!June 15, 2009

Copyright © Dr. Patricia Peters

Page 27: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Why would major drug companies produce drugs or products that are synthetic or that have adverse side effects? 3. MONEYMany of the Fortune 500 Companies

are pharmaceutically based. Back in the mid 1960’s the pharmaceutical industry contributed over 1.3 million dollars to promote estrogen replacement drug –

PREMARINJune 15, 2009

Copyright © Dr. Patricia Peters

Page 28: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

BENEFITS OF NATURAL HORMONES

Remember how you felt when you were 25-30?

Identical to what the human body makes

Derived from natural sources (plants) or recombinately DNA designed (Human Growth Hormone)

No side effects if taken properly and levels are kept within normal range

June 15, 2009Copyright © Dr. Patricia Peters

Page 29: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Natural Estrogens

Identical to the three major estrogens your body manufactures

Easy to take Makes skin softer and more

youthful Completely ends hot flashes

June 15, 2009Copyright © Dr. Patricia Peters

Page 30: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Natural Estrogens

Maintains Bone Density Increases Hair and Nail thickness

and growth and emotional well being.

Decreases Body Fat, Cholesterol and heart disease risk.

Decreases Dementia risks (75% in some studies)

June 15, 2009Copyright © Dr. Patricia Peters

Page 31: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Natural Progesterones Protects against osteoporosis, heart

disease, uterine and breast cancer STOPS majority of female migraine

headaches Dramatically decreases PMS

symptoms Increases sexual libido dramatically Offsets estrogen effects Decreases body fat

June 15, 2009Copyright © Dr. Patricia Peters

Page 32: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Natural Thyroid Has T4, T3 and various thyroid

enzymes you need (T3 is the active hormone)

Experience shows dramatic improvements in fatigue over Synthroid in most patients

Less expensive than SYNTHROID Great for Thyroid Insufficiency (low

thyroid)!June 15, 2009

Copyright © Dr. Patricia Peters

Page 33: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

More about Thyroid

Softens skin and makes it more youthful Reduces wrinkles Thickens nails Increases metabolic rate(increases

energy) Powers the immune system Major side effect – WEIGHT LOSS (illegal

to give solely for weight loss program)

June 15, 2009Copyright © Dr. Patricia Peters

Page 34: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Natural Testosterone Cream applied daily Easy to use Increased thinking/cognitive skills Increased decision making Increased libido Marked increase in muscle mass Marked decrease in body fat Increased well-being

June 15, 2009Copyright © Dr. Patricia Peters

Page 35: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Human Growth Hormone promotes…. Marked increase in hair thickness & growth. NIH Study (ongoing) shows decrease in

body fat; increase in muscle mass (over one year)

Improvement in arthralgia and arthritis symptoms

Increased cardiac output Increased exercise tolerance

THE HEALING HORMONE!!!!!June 15, 2009

Copyright © Dr. Patricia Peters

Page 36: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Other things to consider…..

Other Hormones A good multi-vitamin is necessary

and MORE!!!New Product – Protandim!!

June 15, 2009Copyright © Dr. Patricia Peters

Page 37: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Like a proper, balanced diet

Low glycemic index diet is critical!!!

June 15, 2009Copyright © Dr. Patricia Peters

Page 38: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

All this must be done PROPERLY!!

The diagnosis must be correct The right medications and vitamins must be

prescribed Lab work must be done in order to determine

and optimize hormone levels To protect your health, other blood levels

must be followed to ensure an efficacious therapy

The correct diet must be prescribed An appropriate exercise program must be

followed Hormone Replacement Therapy can start at

age 40 and above (in some cases even younger)

June 15, 2009Copyright © Dr. Patricia Peters

Page 39: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

How the Hormone Replacement Therapy

Program Works Physician evaluates patient – history and

exam or records orders lab and writes Bio-Identical Hormones prescriptions gives recommendations on diet and supplementations

Lab is done by patient and Physician receives results and analyzes the results

Adjustments if needed are called to patient

6 weeks a follow-up with patients and recheck lab

If lab is adequate then Yearly follow-up and Scripts till next yearly appointment.

June 15, 2009Copyright © Dr. Patricia Peters

Page 40: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

How long before you notice any difference?

Within days, most patients notice a vast improvement. Obviously, for

continued improvement and maintenance, HORMONE

REPLACEMENT THERAPY becomes a life-long program

June 15, 2009Copyright © Dr. Patricia Peters

Page 41: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

The future looks bright, and the time is right!

Ever wonder when you’ll get the time and energy to do all the things you really want to do with your life?

There has never been a better time than NOW for you to experience all the benefits of Hormone Replacement Therapy!

June 15, 2009Copyright © Dr. Patricia Peters

Page 42: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Very Bright Indeed!!

Hormones are getting better and better, as are our laboratory techniques and capabilities. Ongoing studies are continuing to show that natural hormones are far superior to synthetics.

June 15, 2009Copyright © Dr. Patricia Peters

Page 43: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Advice on Hormones Medicine, just like any other profession, has areas of

specialty. No one physician can totally understand every specialty. HRT is a specialty; and many physicians lack the training to render a truly competent second opinion. Many physicians, get into a rut or groove, and develop “comfort zones” for their practice, of course, malpractice risks often tend to make physicians stick with the conservative and often outdated status quo! Additionally, there is still much inaccurate information about HRT within the medical community – some physicians are simple WRONG! Believing Hormones will cause cancer when just the opposite has been validated by research! STUDY THE FACTS ----

IF YOU HAVE QUESTIONS SECURE A COMPETENT SECOND OPINION; THEN DECIDE FOR YOURSELF IF HRT IS FOR YOUR!!!

June 15, 2009Copyright © Dr. Patricia Peters

Page 44: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Do you think of the costs – or consider the benefits? Obviously, nothing is free. But all the

benefits of HRT are surprisingly affordable! Even though many insurance companies consider HRT “cosmetic or preventive” Medicine and don’t provide applicable coverage – you can still afford our program!Why not invest in a younger more

vigorous BODY?!

June 15, 2009Copyright © Dr. Patricia Peters

Page 45: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Conclusion – What Hormones do I need?

“Based on Lab” Estrodiol Free Testosterone DHEAsulfate Progesterone TSH and Free T3 ,Free T4 Fasting Insulin IGF -1

Other Lab will be individualized to the Patients

June 15, 2009Copyright © Dr. Patricia Peters

Page 46: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

Life is a Beach!Put yourself in

the picture by being the picture of your maximum, youthful potential!

June 15, 2009Copyright © Dr. Patricia Peters

Page 47: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

What is the Cost?If Hormone Replacement is

the only Item Office Visit – Initial - $275 – You will be

examined, 1 hour consultation, Lab ordered, Hormone prescription based on history and exam, Lab reviewed and Hormone Adjustment

Follow-up – $100 –30 minutes-- 6-8 weeks – Exam – and Lab reordered – If Lab is optimal you are good for one year before next visit

June 15, 2009Copyright © Dr. Patricia Peters

Page 48: Natural Hormone Replacement Therapy Using Bio-identical hormones By Patricia Peters D.O. June 15, 2009 Copyright © Dr. Patricia Peters

VIRTUAL OFFICE VISITS

Questions and Routine follow-up Not designed for emergency Available within 30-60 days

(August 2009) Seeped conferencing will be

available with the Virtual Office Visits

June 15, 2009Copyright © Dr. Patricia Peters